Missouri
Division of Professional Registration
St. Louis South Oral & Maxillofacial Surgery
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2005015630
Date granted
05/31/2005
Date expires
06/01/2015
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
9911 Kennerly Rd
licensingmissouri.org
ID 2043665
LAST UPDATED 2026-05-25 08:38:22 UTC
LAST UPDATED 2026-05-25 08:38:22 UTC
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